| NPI | 1841429974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A124008) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 267998) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2024-10-25 |